Stacy A Pelletier in Mountain Grove - Occupational Therapist
Stacy A Pelletier - NPI 1265695423
Stacy A Pelletier is a Occupational Therapist in Mountain Grove, Missouri. Stacy A Pelletier practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Stacy A Pelletier is 1265695423. The last update date is 2008-07-08.
Stacy A Pelletier's current location address is 1604 N Main St, Mountain Grove, Missouri. You can contact this provider via phone number 4179266563 and fax number 4179261502. The mailing address for Stacy A Pelletier is 1604 N Main St, Mountain Grove, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy A Pelletier |
|---|---|
| Address | 1604 N Main St, Mountain Grove, Missouri |
| Phone Number | 4179266563 |
| Fax Number | 4179261502 |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1265695423 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 1604 N Main St |
|---|---|
| City | Mountain Grove |
| State | Missouri (MO) |
| Post Code | 657111010 |
| Phone Number | 4179266563 |
| Fax Number | 4179261502 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 2007032812 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code assigned to Stacy A Pelletier by the Centers for Medicare & Medicaid Services?
The Stacy A Pelletier has been issued the NPI (National Provider Identifier) 1265695423 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacy A Pelletier's facilities are situated?
The facilities of Stacy A Pelletier are physically located at the following address: 1604 N Main St, Mountain Grove, MO, 657111010.
What is Stacy A Pelletier's area of expertise and its corresponding taxonomy classification?
The Stacy A Pelletier's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.
When did Stacy A Pelletier receive its 1265695423 assignment?
The Stacy A Pelletier was assigned its 1265695423 on 2008-07-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Stacy A Pelletier's details last updated?
The information pertaining to the Stacy A Pelletier, including its address, specialty, and other details, was most recently updated on 2008-07-08.